Application Form of ADP (Ghana )

1	Information on your organisation *Pleaes explainin why your organisation is eligible to be a Member Organisation for C-CfA.				(e.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The name of the applying organization is AFRICAN DEVELOPMENT PROGRAMME (ADP). A profile of ADP is attached with this application. ADP has worked and collaborated with several national and international organizations that includes USAID on Basic Education, North-South Centre of the Council of Europe, African Union on the Draft Social Policy Framework for Africa, Government of Ghana on HIV/AIDS and Food Marketing Programme for Women Groups and the International Council on Social Welfare (ICSW) to provide leadership to NGOs/CSOs in West and Central Africa.   On 14th March 2002, ADP through its membership with the main NGO umbrella organization in Ghana collaborated with the Embassy of Japan in Ghana to hold a collaborative workshop between Civil Society and Government of Japan. In attendance were Government of Ghana officials and Embassy of Japan officials including Mr. Motorshi Noro, the then Charge d’ Affairs of the Embassy of Japan. ADP also participated in the Ghana-Japan Business Economic Forum which was organized by the Ghana National Chamber of Commerce and Industry and the Embassy of Japan, Accra, 21st August 2002.   In 2005, ADP received funding from development partners in Germany to successfully organize a Ghana national workshop to raise the awareness of NGOs/CSOs on Ghana’s Poverty Reduction Strategy. In attendance also were participants from Cameroon, DR Congo, Tanzania and Germany ADP’s budget for 2006, including in-kind amounted to over US$ 45,000.  The Executive Director of ADP has served two three-year terms as the Chairman of the Ghana Association of Private Voluntary Organisations in Development (GAPVOD) and is currently the Chairman of its Interim Management Council. GAPVOD is the main umbrella organization for over 400 NGOs/CSOs in Ghana. The Executive Director of ADP was successfully re-elected in Brazil, 2006, for a second two-year term as the International Council on Social Welfare (ICSW) Regional President for West and Central Africa. www.icsw.org  The Executive Director of ADP was invited in 2006 by the African Union to its Experts Group to work on the Draft Social Policy Framework for Africa.  ADP has, since it was founded in 1994, has successfully collaborated with several organizations and institutions in Ghana and around the world. It is on these facts that ADP is eligible to be a member of C-CfA.
2	Name, position and contact of a person who is in charge of this commission
	Name: (Mr. Charles Abbey Position within the organization: Executive Director Telephone: [phone] (office)/ 244102 (home)    Fax: [phone] Skype name: *Please attach her/his CV. CV is attached
	Reason why he/she is eligible to be in charge of a representative of your organization
	Mr.  Charles Abbey, the Executive Director of ADP has been very instrumental in making the organization a recognized partner in both national and international development. He has trained in the Management of NGOs, an alumni of the US Government International Visitor Programme, trained by the World Bank Institute in Community Driven Development and currently the WBI Local Resource Person in charge of Distance Learning between Universities in Ghana and the United States of America. Mr. Abbey has also trained at the prestigious Kofi Annan International Peacekeeping Training Centre, Ghana, as an Election Observer. Mr. Abbey has provided national and international leadership to NGOs/CSOs in Ghana, West and Central Africa and beyond.
3	Budget allocation for becoming a Member Organisation of C-CfA. ADP will allocate: (1) US$ 1,200 to support its secretarial staff who will be involved in C-CfA activities. (2) US$1,200 to support Internet, fax, telephone services (3) Quality  time of the Executive Director (4) 1 PC (5) 1 fax machine					e.g. its amount and how to be spent (in USDollar)
4	List of NGOs that recommend your organisation to represent them		*Please fill out at least 10 names of organizations. *Contact should be postal address, telephone number and e-mail address (Website URL, if there is).
	Name1	Smart Care International	Contact
	Name2	ACANET	Contact
	Name3	Muslim Development Organisation, Suhum (MDOS)	Contact
	Name4	Rural Youth	Contact
	Name5	SIWOT	Contact
	Name6	INPRODEC	Contact
	Name7	Child Educational	Contact
	Name8	GIMAT	Contact
	Name9	PAWLA	Contact
	Name10	Community Radio Network (CORANET)	Contact
	Name11	CCFC	Contact
	Name12	FES	Contact
	Name13	Ghana Kind Voluntary Movement (GHAVUM)	Contact
	Name14	Ghana National Coalition on the Rights of the Child (GNCRC)	Contact
	Name15	Earth Volunteers	Contact
	Name16	Ideal Capacity Development and Growth International	Contact
	Name17		Contact
	Name18		Contact
	Name19		Contact
	Name20		Contact

Application Form of BOCONGO (Botswana)

1	Information on your organisation *Please explain why your organisation is eligible to be a Member Organisation for C-CfA.	(e.g. aim, history, membership, member organisations, activities, network, budget, human resource, etc.)
	The Botswana Council of NGOs is the official umbrella body of NGOs in Botswana. It is registered formally with the Register of Societies. It is therefore the legitimate and recognized voice of the NGOs in Botswana. The organization was formed in 1995 as a network of NGOs in Botswana. BOCONGO exists to provide for an enabling environment of NGOs. One of its most important objectives is capacity building of the sector and networking. Membership. BOCONGO has over 80 members from 11 thematic areas. (Find attached an annex of membership). Activities. BOCONGO conducts capacity building workshops, skills development, lobby activities, networking etc. Budget. BOCONGO is supported by a number of donors, among them the Government of Botswana, Africa Capacity Building Foundation, Forum Syd, Friedrich Ebert Foundation and many others. The budget of the organization is in excess of one million US Dollars per annum. Human resources. BOCONGO has a staff compliment of 10.
2	Name, position and contact of a person who is in charge of this commission
	Name: (Mr. Baboloki Tlale Position within the organization: Executive Secretary  Telephone: [phone]                                 Fax:[phone] Skype name: Baboloki.tlale *Please attach her/his CV.
	Reason why he/she is eligible to be in charge of a representative of your organization
	The leader of the organization and responsible for relations with external organizations.
3	Budget allocation for becoming a Member Organisation of C-CfA (This question is not understood, is this a joining fee, in which case that will depend on what the organization has set as joining fee and this will have to be sourced depending on it.)		e.g. its amount and how to be spent (in USDollar)
	NGO lists were submitted in different file.

Application Form of N2A (Ivory Coast)

1- Information on our organization

Name: NETWORK AFRICA SIA (N2A)

Registration No: 567 / MI / DGAT / DAGP / SDVA

Address: 01 BP 8319 Abidjan 01, Côte d’Ivoire

Telephone: [phone]

Fax:       [phone]

E-mail:     [e-mail]

Skype:      netafricasia

Network Africa Asia (N2A) has been established in Côte d'Ivoire (West Africa) in order to promote exchanges with Asian countries. In fact some of the founders have gained experience in Afro–Asian exchanges while studying and working in Japan for many years. Sharing on regular basis their Japanese experience with their former colleagues in Côte d’Ivoire, they have decided to put efforts together in order to positively contribute to African development by assisting individuals, organizations in capacity reinforcement.

 

Network Africa Asia’s has the advantage to gather several persons with different cultural (Japanese, African) and professional experiences (civil and environmental engineers, project managers, accountant, self employed, volunteers) as founders and staff.

 

Some of our activities are:

-         To assist Africans and African organizations in building partnerships with their Asian counterparts

-         To organize informal sector and reinforce their capacity to improve their activities

We have realized that though there are efficient at the grass root level, there are still many African organizations are not aware of international exchanges’ advantages. Moreover they do not understand very well why the international aid doesn’t reach them.

Our members are individuals, NGOs, agricultural cooperatives, craftsmen associations, and Civil Organizations.

 

 

 

	Our office is well furnished with 24 hours internet connection and 3 computers are connected via LAN, one printer, one scanner a fax and copy machine. We have 3 permanent staff who are already familiar with the C-CfA concept.   Actually our monthly budget is about 1500 USD that we use as follows: -         Office rent:               200 USD -         Communication:           250 USD -         Travel and Transport :       200 USD -         Office Maintenance:         50 USD -         Office supplies:            100 USD -         Staff:                     600 USD -         Miscellaneous:             100 USD   Though we are newly established NGO , we are member of most African and International Civil Society Organizations Forums We have also access to many Japanese CSO Forums and have applied for affiliations in many other international civil society organizations.     Being a Member Organization of the C-CfA will enable us to create a framework for the diffusion of C-CfA related information and at the same time bring their voices to the Commission. This will be done through seminars, workshops, and other events. The fact that we have participated in the recent processes of the Commission has enabled us to be familiar with the concept and to implement the action plan.   Since the workshop in Nairobi, we are prepared to allocate a large part of the above budget to C-CfA tasks. Moreover, we have prepared a budget 2007-2008 for our future mission as Country based Commission Member.
2	Name, position and contact of the person who is in charge of this commission
	Name: Mr. Appolinaire Goue Iritie Position within the organization: President e-mail address: [e-mail] Telephone: + 225 08 52 58 93         Fax: + 225 22 41 93 59 Skype name: netafricasia   Please attach her/his CV.: Please refer to attached file CVapollo
	Reason why he is eligible to be in charge The main reasons are: -         He has participated in the workshop held in Nairobi by TICAD CSF during WSF 2007 and has keen interest in the concept of C-CfA -         He has a lot of information about TICAD and Japanese ODA system -         He has organizational skills that can bring a positive contribution to the commission -         He has a wide experience in both African Japanese system (professional, social, cultural) -         He is familiar with international exchanges and communication via internet -         His language ability (French, Japanese, English) can be a contribution to the Commission because he can get information in one of those languages.
3	Budget as Member Organization of C-CfA (in US Dollar)

OBJECTIVE 1: WIDELY PROMOTE THE CONCEPT OF CfA  IN COTE D’IVOIRE

Specific Objectives (SO)	Expected results	Actions	Performance Indicators	Period (month / year)	Budget (USD)
OS 1 Be able to share the concept of C-CfA with other organizations and get their recommendation	Build a specific network for C-CfA concept	Participation in the workshop organized by TICAD CSFduring the WSF in Nairobi	Effective participation in the workshop in Nairobi and contribution to the establishment of C-CfA	Jan 2007 to March 2007	5, 000
		Share the concept of C-CfA with several organizations; Translation of the concept into French	Translation of the concept done; Application form sent to TICAD CSF on time
		Organization of a seminar / workshop with many Civil Society Organizations to establish a adequate framework	Establishment of several commissions and a framework in order to collect voice from the grass roots level		4, 500
SO 2 Presentation of the C-CfA members to the local organizations and set up working group to bring the first step of action plan to success	Keen interest in order to participate in activities of C-CfA	Regular exchanges with other members Meeting with Civil Society Organizations to inform them about the importance to follow the action plan and deadlines; Organization of workshops, events and trips at the country side to collect voice from grass roots level. Apply for Steering Committee member	Application for Steering Committee sent   Resolutions of seminars and workshops available for Voice of C-CfA	April 2007 to June 2007	5, 000
TOTAL OBJECTIVE 1 :				14,500

 

OBJECTVE 2 :    TOWARD TICAD IV

Specific Objectives (SO)	Expected results	Actions	Performance Indicators	Period (month / year)	Budget (USD)
SO 1
Participation of some organizations in Civic TICAD Conference, G8 summit in Germany, TICAD Meetings	Advocating and gaining more experience in international events	Regular exchanges with other members; Share with local organizations the events outline and get their voice; Lobbying to get resources for the participation of some organizations; Organization of fundraising events	Participation of some organizations in the international events; Resolutions	April 2007 to Sept 2007	12, 000
					12, 000
SO 2 Contribution to the final Voice of Africa; Participation of some organizations in TICAD IV and G8 Summit in Tokyo	The role of the grass roots level organizations in aid policy to be recognized	Share with local organizations the events outline and get their voice;   Lobbying to get resources for the participation of some organizations, Organization of fundraising events	Participation of some organizations in TICAD IV and G8 summit	Sept 2007 to Jul 2008	16, 000
					16,000
TOTAL OBJECTIVE 2 :                                                                                                         28,000
TOTAL                                       :                                         42, 500

 

  

List of NGOs in Côte d’Ivoire that recommend NETWORK AFRICA ASIA

 

N°	NAME OF NGO	ACTIVITIES	CONTACT	PERSON IN CHARGE
1	LA MATRICE	Women Empowerment	[phone]	Ms, Josephine KONDO
2	ESPOIR DES ENFANTS	Child Protection & Rights	BP 2648 Yamoussoukro, Tel: [phone] /Cel: [phone] / 01 14 04 35	M, Mohamed CISSE
3	FEMME FORCE DE VIE	Women Welfare	BP 2648 Yamoussoukro, Tel: [phone]	Ms, Delphine KOFFI
4	FONDATION POUR LE DEVELOPPEMENT HUMAIN	Development & Environment Protection	Tel: [phone]	Mr, Kouame BROU
5	ACTION CHRETIENNE POUR LA SOLIDARITE	Poverty Reduction Strategy	Tel: [phone]	M, Luc DANHEUT EDI
6	CEMEV	Education & HIV / AIDS	Tel: [phone]	M, Aime ZAMIEN BI
7	FRATERNITE	HIV / AIDS & PRS	Tel: [phone]	M, Eugene AHOUSSOU
8	AMITIE & CONSEIL	HIV / AIDS	Tel: [phone]	M, Bla DIBI
9	MOBILITE CITOYENNE	Disabled	Tel: [phone]	M, Ibrahim SANOGO
10	RENAISSANCE SANTE BOUAKE	HIV / AIDS	Tel: [phone]	M, Mathurin KONAN
11	OMDH 2025	Development	Tel: [phone]	Renne DOSSAN
12	FLEC	Microfinance	Tel: [phone]	M, Francois KONAN
13	SANTE DES DESHERITES	Health	Tel: 12 BP 1377 Abidjan 12                                                Tel: [phone]	M, Etienne HUE BI YA
14	ASSOCIATION DES SCULPTEURS DE KOUMASSI	Art & Craft	10 BP 656 Abidjan 10 Tel: [phone]	M, Moussa SIDIME
15	FEMMES VIVES	Health & Environment	01 BP 12518 Abidjan 01 Tel: [phone]	Ms. Mariam

Application Form of CONGAD (Senegal)

Conseil des Organisations Non Gouvernementales d’Appui au Développement Liberté III, N° 1983, BP 4109 – Dakar-Sénégal Tel : [phone] – Fax : [phone] E.mail : [e-mail] 1	Informations relatives à votre organisation   *Expliquer les détails de votre motivation à devenir membre de la Commission	(par exemple, préciser le but, l’historique, les membres, vos réseaux, votre budget, les ressources humaines, etc.)
	Le CONGAD a été créé en 1982 par des organisations Non Gouvernementales intervenant au Sénégal en vue de défendre les intérêts matériels et moraux de ses membres dans leurs relations avec l’Etat et leurs autres partenaires. Le CONGAD compte 166 organisations membres sénégalaises, africaines, européennes, américaines et internationales, 11 cellules régionales (une cellule dans chacune des régions administratives du Sénégal) et 9 réseaux thématiques (Lutte contre la pauvreté, Santé Sida Populations, Environnement et développement, Genre, Epargne et crédit, Droits humains et démocratie, Alphabétisation, Arts et culture, Politiques agricoles et commerce). Instrument de matérialisation de l’ambition des ONG intervenant au Sénégal mais aussi en Afrique de l’Ouest et du Centre, le CONGAD a des missions de renforcement des capacités de ses membres, de diffusion d’informations, de coordination des activités de développement, de lobbying et de plaidoyer pour l’émergence d’une société civile forte pouvant influencer les politiques.  Le CONGAD assure la Coordination et le Secrétariat du Réseau des plates-formes d’ONG de l’Afrique de l’Ouest et du Centre (REPAOC). Il est le point focal pour l’Afrique du Programme de Diplomatie Non gouvernementale qui est conduit en partenariat avec ABONG du Brésil et Action de la Bolivie pour l’Amérique latine et lusophone, VANI de l’Inde pour l’Asie du Sud et Coordination Sud de la France pour l’Europe. Le CONGAD s’investit dans la formulation, la mise en œuvre, le suivi, la revue et l’évaluation des politiques publiques (lutte contre la pauvreté, Programme de développement intégré de la santé, Programme décennal de l’éducation et de la formation, Programme national pour le développement durable…) et des politiques de partenariat au développement (Accord de Cotonou et APE, Programme ALPI pour le suivi du partenariat Sénégal-USA à travers l’AGOA, la Stratégie de croissance accélérée, le Millénium Challenge Account, Partenariat Banque mondiale-Sénégal…)  Les objectifs du CONGAD Le CONGAD s’est fixé comme objectif de renforcer la contribution et l’influence positives du mouvement ONG dans le développement et ainsi développer l’action de la société civile au Sénégal et dans la sous-région Ouest africaine pour relever les défis de la mondialisation par l’émancipation économique, sociale, culturelle et politique des populations. Cet objectif général est sous-tendu par les cinq objectifs stratégiques ci-après : - Renforcer l’impact de l’intervention des ONG dans le processus de développement - Promouvoir une citoyenneté responsable et la participation populaire au développement - Développer un partenariat actif qui agit sur les politiques de développement en faveur des populations pauvres et /ou marginalisées - Consolider les structures internes et les démembrements du CONGAD - Contribuer à la prévention et résolution des conflits, et à la réponse aux situations d’urgence Le budget du CONGAD : 300 000 000 FCFA Ressources humaines : Les ressources humaines du CONGAD sont constituées par le Conseil d’administration, le personnel de la Direction Exécutive, les personnes-ressources des cellules régionales et des réseaux thématiques ainsi que les experts des ONG membres qu’il peut mettre à contribution
2	Nom et prénoms, poste et le contact de la personne en charge de la Commission
	Nom : Monsieur Amacodou DIOUF Poste occupé dans l’organisation : 1 er Vice-président du Conseil d’administration E-mail : [e-mail]/ [e-mail] Téléphone : (221) 824 44 13/ Mobile [phone] Fax : [phone] Skype *Prière joindre le CV
	Amacodou DIOUF est en charge des questions de partenariat économique et de lutte contre la pauvreté au sein du Conseil d’administration
	Budget que vous souhaiteriez allouer aux tâches relatives à la Commission (C-Cfa)   Montant : 6000 dollars US   Chapitres : Ø      Organisation d’un atelier d’information  2000 dollars Ø      Création et animation d’un forum de discussion entre les partenaires 1000 dollars Ø      Organisation de quatre réunions pour l’élaboration d’une position commune 1000 dollars Ø      Conception, édition et diffusion d’un document de référence  2000 dollars
3	Voré Gana SECK   GREEN SENEGAL BP 219, Thiès 951 68 30 / 648 94 41 [e-mail] [e-mail]   Amacodou DIOUF AHDIS BP. 21 395, Dakar-Ponty  824 52 83 / 633 04 76 Fax : [phone] [e-mail]; [e-mail]   Momar Talla KANE ASAFIN BP. 29243, Dakar 824 44 09 / 644 42 45 Fax : [phone] [e-mail]   Dame SALL RADI BP. 12085 Colobane 864 01 01 / 825 75 33 / 644 30 31 [e-mail] / [e-mail]   Ibrahima YADE ACA Sicap Liberté II N° 1356, Dakar 825 32 14 / 825 45 83 / 638 87 75 fax : [phone] [e-mail] / [e-mail]   Falilou DIAGNE   FONGS B : 951 12 37 / P : 630 71 15 D : 955 51 13 [e-mail] / [e-mail]   Alassane GUISSE   GADEC B : 981 12 20 - P : 639 19 76 [e-mail] [e-mail]   Seydou WANE FODDE BP. 78, Saré Moussa, KOLDA 996 12 73/639-10-44 [e-mail]   Oumar BA ASACASE Face du Lycée Djignabo, ZIGUINCHOR 991 15 81 / 637 98 77 [e-mail]   Mamadou DIOP USE, BOPP 824 67 96 [e-mail]   Mariame DEM ANAFA BP. 5634 Dakar 855 94 60 / 569-05-96 [e-mail]

Application Form (French) of the CCA-ONG (Mali)

1	Informations relatives à votre organisation *Expliquer pourquoi votre organisation est adéquate comme Organisation Membre de la C-CfA.					(par exemple, préciser le but, l’historique, les membres, les organisations membres, les activités, vos réseaux, votre budget, les ressources humaines, etc.)
	Mon organisation, le CCA-ONG est créé le 31 décembre 1983 et regroupe 179 ONG membres. Sa mission est de renforcer ses organisations membres pour faire d’elles les acteurs les plus importants des ONG afin qu’elles puissent jouer un rôle de premier plan dans les questions de développement. Elle se donne comme autre mission d’influencer le développement durable au Mali à travers la mise en œuvre de ses axes stratégiques. Elle offre des services de :   -         la formation des cadres des ONG membres avec une quinzaine de formateurs confirmés dans les domaines les plus divers, -         l’information/communication avec un site web, trois bases de données et une revue trimestrielle d’information, -         un cadre d’échanges.   Il travaille avec différents partenaires dans les domaines les plus divers comme l’environnement et le développement durable, la santé, la promotion de la femme, etc.
2	Nom, poste et le contact de la personne en charge de la Commission
	Nom: (Mr.) Soumana TANGARA Poste occupée dans l’organisation:  Chef du Service Développement Institutionnel du Conseil de Concertation et d’Appui aux ONG (CCA-ONG) e-mail: [e-mail], [e-mail] Téléphone: 00223 220 92 51                   Fax: [phone] Nom sur Skype: *Prière joindre le CV.
	Expliquent pourquoi il/elle est adéquat(e) au représentant en charge de la Commission dans votre organisation
	L’expérience de notre représentant et sa capacité avérée à traiter les grandes questions du développement.
3	Assignation budgétaire pour devenir une Organisation Membre de la C-CfA						Par exemple, préciser la somme et l’objet d’utilisation (en US Dollars)
	Fonctionnement                                                                      87 990 $ Logistique                                                                               35 944 $ Renforcement des Capacités                                               173 376,2 $ Plaidoyer/Lobbying                                                              128 883,75 $
4	Liste des ONG qui vous recommandent en tant que leur représentant			*Prière de donner au moins 10 noms d’ONG. *Les contacts devront être: adresse postale, le numéro de téléphone, e-mail (site web si existant).
	ONG 1	Nom	CARD	Contact	221 52 10 [e-mail]
	ONG 2	Nom	ACD	Contact	220 30 76 [e-mail]
	ONG 3	Nom	AADEC	Contact	[e-mail]
	ONG 4	Nom	AMCFE	Contact	223 51 79 [e-mail]
	ONG 5	Nom	ADAF/Gallée	Contact	222 00 33 [e-mail]
	ONG 6	Nom	AFAD	Contact	220 04 84 [e-mail]
	ONG 7	Nom	TONUS	Contact	227 22 72 [e-mail]
	ONG 8	Nom	FDS	Contact	223 41 08 [e-mail]
	ONG 9	Nom	DONKO	Contact	221 38 81 [e-mail]
	ONG 10	Nom	AID-Mali	Contact	229 81 58 [e-mail]
	ONG 11	Nom	ADAC	Contact	229 05 21 [e-mail]
	ONG 12	Nom	ASG	Contact	222 14 39 [e-mail]
	ONG 13	Nom	AED	Contact	222 31 42 [e-mail]
	ONG 14	Nom	ASSAFE	Contact	229 65 09 [e-mail]
	ONG 15	Nom	GRAT	Contact	229 43 41 [e-mail]
	ONG 16	Nom	APAF Muso DAMBE	Contact	228 13 20 [e-mail]
	ONG 17	Nom	ICD	Contact	223 55 78 [e-mail]
	ONG 18	Nom	AMPRODE/Sahel	Contact	229 05 21 [e-mail]
	ONG 19	Nom	YERE DEME	Contact	222 14 76 [e-mail]
	ONG 20	Nom	STOP SAHEL	Contact	222 33 80 [e-mail]
* Vous pourriez additionner plus de noms d’organisation si il en existe.